• Title/Summary/Keyword: Radiographic

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A CLINICAL AND RADIOGRAPHIC STUDY OF CONGENITALLY MISSING TEETH (선천성 결손치에 관한 임상 및 방사선학적 연구)

  • Lee Ji Min;Lee Sang Rae
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.21 no.2
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    • pp.275-285
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    • 1991
  • The clinical and radiographic features of 655 congenitally missing teeth were studied with full mouth periapical radiograms and/or pantomograms from 368 persons visited the Department of Oral Radiology, Infirmary of Dentistry, Kyung Hee University during January 1981 to December 1989. The obtained results were as follows: 1. The prevalence of congenitally missing teeth was revealed to be 8.75% in total examined persons, and there was a higher prevalence in females (9.5%) than in males (8.0%). 2. The most frequently missing teeth were mandibular second premolars (24.6%), followed by mandibular lateral incisors (21.7%), maxillary second premolars (16.2%), and maxillary lateral incisors (11.5%). 3. There was a higher prevalence in the mandible (60.3%) than in the maxilla (39.7%), and no significant differences between right (49.65%) and left (50.35%) side. 4. In number of congenitally missing teeth per person, 54.6% had one missing tooth, and 32.9% had two missing teeth. 5. In persons with one or two congenitally missing teeth, the most frequently missing tooth was mandibular lateral incisor, and the second premolar was the tooth most frequently missing in those persons with more than three congenitally missing teeth.

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PERINEURAL SPREAD IN ADENOID CYSTIC CARCINOMA (신경주위 전파를 수반한 유선낭종암)

  • Lim Sug-Young;Choi Eun-Suk;Kim Min-Sook;Koh Kwang-Joon
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.22 no.2
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    • pp.375-385
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    • 1992
  • This is a report of adenoid cystic carcinoma occurred in the palate in 30-year-old patient with a complaint of exophytic mass. The authors diagnosed it as adenoid cystic carcinoma by the clinical examination, radiographic findings and histopathological findings. The obtained results are as follows: 1. In clinical examination, asymptomatic exophytic mass of palate was observed. 2. In radiographic findings, soft tissue mass infiltrated the left maxillary sinus, nasal cavity, infraorbital fossa, hard palate, pterygopalatine fossa and pterygoid plate, and enhanced soft tissue mass was also observed in CT. 3. In histopathological findings, tubular and solid patterns of glandular structures were observed and the infiltration of tumor cells into the nerve fibers was also observed. 4. Two years after radical surgery, radiation therapy and chemotherapy, the perineural spread to orbital area was observed. 5. Much longer follow-up than 5 years is needed for early diagnosis of recurrence and distant metastasis.

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Management of oral and maxillofacial radiological images (Dr. Image를 이용한 구강악안면방사선과 의료영상 관리)

  • Kim Eun-Kyung
    • Imaging Science in Dentistry
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    • v.32 no.3
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    • pp.129-134
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    • 2002
  • Purpose : To implement the database system of oral and maxillofacial radiological images using a commercial medical image management software with personally developed classification code. Materials and methods : The image database was built using a slightly modified commercial medical image management software, Dr. Image v.2.1 (Bit Computer Co., Korea). The function of wild card '*' was added to the search function of this program. Diagnosis classification codes were written as the number at the first three digits, and radiographic technique classification codes as the alphabet right after the diagnosis code. 449 radiological films of 218 cases from January, 2000 to December, 2000, which had been specially stored for the demonstration and education at Dept. of OMF Radiology of Dankook University Dental Hospital, were scanned with each patient information. Results: Cases could be efficiently accessed and analyzed by using the classification code. Search and statistics results were easily obtained according to sex, age, disease diagnosis and radiographic technique. Conclusion : Efficient image management was possible with this image database system. Application of this system to other departments or personal image management can be made possible by utilizing the appropriate classification code system.

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Digital contrast subtraction radiography for proximal caries diagnosis (인접면 치아우식 진단을 위한 디지털 방사선 조영 공제술)

  • Kang Byung-Cheol;Yoon Suk-Ja
    • Imaging Science in Dentistry
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    • v.32 no.3
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    • pp.123-127
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    • 2002
  • Purpose : To determine whether subtraction images utilizing contrast media can improve the diagnostic performance of proximal caries diagnosis compared to conventional periapical radiographic images. Materials and Methods: Thirty-six teeth with 57 proximal surfaces were radiographied using a size #2 RVG-ui sensor (Trophy Radiology, Marne-la-Vallee, France). The teeth immersed in water-soluble contrast media and subtraction images were taken. Each tooth was then sectioned for histologic examination. The digital radiographic images and subtraction images were examined and interpreted by three dentists for proximal caries. The results of the proximal caries diagnosis were then verified with the results of the histologic examination. Results: The proximal caries sensitivity using digital subtraction radiography was significantly higher than simply examining a single digital radiograph. The sensitivity of the proximal dentinal carious lesion when analyzed with the subtraction radiograph and the radiograph together was higher than with the subtraction radiograph or the radiograph alone. Conclusion: The use of subtraction radiography with contrast media may be useful for detecting proximal dentinal carious lesions.

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A COMPARATIVE STUDY OF THE DETECTABILITY OF TMJ RADIOGRAPHIC TECHNIQUES FOR ARTIFICIAL MANDIBULAR CONDYLAR LESIONS (하악과두의 인위적 병소에 대한 악관절 촬영법의 판독능 비교연구)

  • Jeong Hee-Jeong;Jung Yeon-Hwa;Cho Bong-Hae
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.27 no.2
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    • pp.117-125
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    • 1997
  • The purpose of this study was to evaluate the detectability of various radiographic techniques for mandibular condylar lesions. Erosive lesion, osteophyte and flattening were formed on the artificial mandibular condyle, and panoramic, transcranial, transorbital radiography, lateral and frontal tomography were taken. The results were as follows; 1. The detectability for erosive lesions was superior in the order of frontal tomography(96%), lateral tomography(78%), transorbital(59%), transcranial(16%) and panoramic(48%) radiography. 2. The location of erosive lesion that showed the highest detectability was the medial third in panoramic, the lateral third in transcranial, the central portion of anteroposterior direction in transorbital, the central portion of mediolateral direction and the posterior third in lateral tomography. Frontal tomography disclosed all erosive lesions except one anterolateral lesion. 3. The detectability of osteophyte was 100% in lateral tomography, 78% in transcranial and 56% in panoramic radiography. 4. For flattening, lateral tomography showed the flattened condyle, but both panoramic and transcranial views showed only decreased bone density without the change of condylar shape.

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Spinal Cord Injury without Radiographic Abnormalities in Children (소아의 척추 외상)

  • Yang, Hong-Ki;Doo, Jung-Hee
    • Physical Therapy Korea
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    • v.3 no.1
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    • pp.57-64
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    • 1996
  • Spinal cord injury in child often occurs without evidence of fracture or dislocation. The mechanisms of neural damage in this syndrome of spinal cord injury without radiographic abnormality(SCIWORA) include flexion, hyperextension, longitudinal distraction, and ischemia. Inherent elasticity of the vertebral column in infants and young children, among other age-related anatomical peculiarities, render the pediatric spine exceedingly vulnerable to deforming forces. The neurological lesions encountered in this syndrome include a high incidence of complete and severe partial cord lesions. Children younger than 8years old sustain more serious neurological damage and suffer a larger number of upper cervical cord lesions than children aged over 8 years. Of the children with SCIWORA. 52% have delayed onset of paralysis up to 4 days after injury, and most of these children recall transient paresthesia, numbness, or subjective paralysis. The long-term prognosis in cases of SCIWORA is grim. Most children with complete and severe lesions do not recover; only those with initially mild neural injuries make satisfactory neurological recovery.

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Effect of changing the kilovoltage peak on radiographic caries assessment in digital and conventional radiography

  • Zayet, Mohamed Khalifa;Helaly, Yara Rabee;Eiid, Salma Belal
    • Imaging Science in Dentistry
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    • v.44 no.3
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    • pp.199-205
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    • 2014
  • Purpose: This study aimed to investigate the effect of changing the kilovoltage peak (kVp) on the radiographic assessment of dental caries. Materials and Methods: Seventy-five extracted posterior teeth with proximal caries or apparently sound proximal surfaces were radiographed with conventional E-speed films and a photostimulable phosphor system using 60 kVp and 70 kVp for the caries assessment. The images were evaluated by three oral radiologists and compared with the results of the stereomicroscope analysis. Results: No statistically significant difference was found between 60 kVp and 70 kVp for the caries detection, determination of caries extension into dentin, and caries severity in either the conventional or the digital images. Good to very good inter-observer and intra-observer agreements were found for both kilovoltage values on the conventional and digital images. Conclusion: Changing the kilovoltage between 60 kVp and 70 kVp had no obvious effect on the detection of proximal caries or determination of its extension or severity.

Comparison of panoramic radiography with cone beam CT in predicting the relationship of the mandibular third molar roots to the alveolar canal

  • Shahidi, Shoaleh;Zamiri, Barbod;Bronoosh, Pegah
    • Imaging Science in Dentistry
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    • v.43 no.2
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    • pp.105-109
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    • 2013
  • Purpose: Preoperative radiographic assessment of the mandibular third molars is essential to prevent inferior alveolar nerve damage during extraction. The purpose of this study was to assess the reliability of panoramic signs of association between the roots of teeth and the canal, and to compare the panoramic signs with cone beam computed tomography (CBCT) findings. Materials and Methods: CBCT images of 132 impacted mandibular third molars were evaluated to determine the association of the root to the canal. The CBCT findings were compared with the corresponding panoramic images. Logistic regression analysis was used to define the diagnostic criteria of the panoramic images. Results: Among the panoramic signs, loss of the cortical line was the most frequent radiographic sign predicting association (sensitivity: 79.31). Contact of the tooth with the canal was observed in all cases in which the loss of cortical line of the canal or darkening of the roots was found on the panoramic radiographs. Conclusion: Darkening of the roots and loss of the cortical line on panoramic radiographs might be highly suggestive of the risk of nerve injury.